COVERAGE BENEFITS
BENEFITS (BAHT)
  Maximum Payable per Disability/Time/Year

EH1000
200000

EH1500
300000
EH2000
400000
EH3000
600000
EH4000
800000
EH6000
1200000
EH12000
2400000
  IPD COVERAGE
  Room and Board , including nursing service and ICU (Maximum payable per disability/time)

60,000

90,000

120,000

180,000

240,000

360,000

720,000
  - Room and Board , including nursing service
(Maximum payable per day, limit 60 days)
1,000
1,500
2,000
3,000
4,000
6,000
12,000
  - ICU Room and Board , including nursing service
(Maximum payable per day, limit 15 days)
2,000
3,000
4,000
6,000
8,000
12,000
24,000
  General Expenses including OPD follow up within 30 days (Maximum payable per disability/time)
10,000
15,000
20,000
30,000
40,000
60,000
12,000
  - Emergency OPD treatment for accident first visit within 24 hours after accident.
including follow up within 15 days (including in General Expenses)
2,000
3,000
4,000
6,000
8,000
12,000
24,000
  Special Consultation Fee
(including in General Expenses)
1,000
1,500
2,000
3,000
4,000
6,000
12,000
  Ambulance Fee
(including in Gerneral Expenses)
1,000
1,000
1,000
1,000
1,000
1,000
1,000
  SURGICAL COVERAGE
             
  - Surgical's Fee (Maximum payable per disability/time, as per actual expense)
15,000
22,500
30,000
45,000
60,000
90,000
180,000
  - Special Consultation Fee for Surgical
(including in Surgical's Fee)
1,500
2,250
3,000
4,500
6,000
9,000
18,000
  DOCTOR VISIT COVERAGE
  - In- patient Doctor Visit Fee
(Maximum payable per day, limit 60 days)
250
375
500
750
1,000
1,500
3,000
  MAJOR MEDICAL COVERAGE
             
  - Maximum Payable per Disability/Time/Year
(Pays 90 percent of the treatment expenses in excess of the IPD benefits)
100,000
150,000
200,000
300,000
400,000
600,000
1,200,000
  - Deductible Amount
10,000
15,000
20,000
30,000
40,000
60,000
120,000
  - Room and Board including nursing service
(Maximum payable per day, starts on 61st day)
1,000
1,500
2,000
3,000
4,000
6,000
12,000
  PERSONAL ACCIDENT COVERAGE (PA2)
  - Accidental Death,Dismemberment, and Total Permanent Disability
(100 percent payable for murder and assault)
(100 percent payable for riding or being a passenger of a motorcyccle)
100,000
100,000
100,000
100,000
100,000
100,000
100,000
  WORLDWIDE EMERGENCY ASSISTANT COVERAGE (PROVIDED BY SOS INTERNATIONAL)
  Evacuation
USD 1,000,000
  Repatriation (Recommended by physician)
  Repatriation of mortal remain
  OUT-PATIENT COVERAGE
(OPD) OPTIONAL

OPD 1
OPD 2
OPD 3
OPD 4
OPD 5
OPD 6
OPD 7
  - Maximum Payable per Day
(Maximum 1 visit per day,limit 30 visits per year)
600
800
1,000
1,500
2,000
2,500
3,000
  - X-ray and Labaloratory Test Expenses
(Maximum per year)
6,000
8,000
10,000
15,000
20,000
25,000
30,000
               
  PREMIUM SCHEDULE (IPD)
 
(Premium (IPD) include Duty Stamp
and SBT (Baht)

Number of Member

EH1000
200,000
EH1500
300,000
EH2000
400,000
EH3000
600,000
EH4000
800,000
EH6000
1,200,000

EH12000
2,400,000
5-10
4,288
6,060
7,835
11,384
14,931
22,027
30,543
11-20
3,932
5,529
7,126
10,318
13,512
19,899
27,560
21-50
3,754
5,262
6,771
9,786
12,803
18,834
26,072
51-100
3,577
4,997
6,414
9,253
12,092
17,768
24,581
               
  PREMIUM SCHEDULE (OPD)
 
(Premium (OPD) include Duty Stamp
and SBT (Baht)

Number of Member

OPD 1
OPD 2
OPD 3
OPD 4
OPD 5
OPD 6

OPD 7
5-10
4,034
5,221
6,406
9,372
12,337
15,303
18,269
11-20
3,631
4,699
5,766
8,435
11,105
13,774
16,442
21-50
3,430
4,438
5,447
7,966
10,487
13,008
15,529
51-100
3,228
4,177
5,125
7,498
9,871
12,243
14,615
 



This health insurance policy covers treatment expenses resulting from injury from accident or illness that occurs  
  unexpectedly after the policy is in effect.  
Injury from accident benefits shall be start covered immediately from policy effective date.  
IPD and OPD benefits ( in case of buying optional OPD coverage ) shall be start covered after the first 30 days  
  waiting period.  
     
Pre-existing conditions, including related symptom and chronic conditions that the applicant has had before this  
  insurance is in effect.  
Condition that is not medical treatment such as physcial check-up, preventive vaccination, Convalescent care  
  including vest cures and rehabilitation, beauty care, and any unnecessary expenses and unrelated to medical treatment.  
Condition that increases risk to health such as suicide or attempted suicide or self-inflicted injury, participation  
  in dispute or quarrel, chronicalcoholism, drugs addiction, venereal disease, service in connection with treatment of nervous or mental disorder etc.  
     
Cover 24 hour a day, worldwide.  
Cover both injury from accident and illness.  
Cover both IPD and OPD (in case of buying optional OPD coverage).  
Cover personal accident (PA2).  
Cover from 15 days to 60 years of age (renewable up to 70 years of age).  
No physical check-up required, only truthfully declare health status on the application.*  
No up front payment, upon showing Thai Health Insurance card at more than 300 network contracted  
  hospitals/clinics.  
Daily claims service from 8.30 a.m. to 5.00 p.m.  
Emergency Service assistance from SOS (in case of buying optional SOS coverge)  
  * In case the applicant knows any fact but declare false statement or fails to declare it, in which should the company acknowledge it, the company may increase the insurance premium or reject the applications, this insurance shall be voided ,according to the Civil and Commercial Code, Section 865, the company has the right to dissolve it.